摘要

【摘要】
目的 调查高龄不孕症女性抑郁状态及其影响因素。

方法 选取2023年9月～2024年9月本院收治的高龄（≥35岁）不孕妇女154例为研究对象，根据抑郁自评量表（Self Rating Depression Scale，SDS）评分分为抑郁组（n=51）和无抑郁组（n=103）。收集比较两组基础资料，采用夫妻支持应对量表（Dyadic Coping Inventory，DCI）评估支持度，采用艾森克个性问卷成人版（Eysenck Personality Questionnaire，EPQ）调查研究对象的人格特征，并经Logistic多因素分析明确影响高龄不孕症女性抑郁发生的危险因素。

结果 两组年龄、文化程度、DCI评分、不孕年限、家庭年收入、夫妻关系融洽、人格特征（P、N维度分）等资料均存在显著差异（P＜0.05）。Logistic多因素分析显示：年龄≥40岁、文化程度低、不孕年限＞4年、家庭年收入≤6万元、夫妻关系不融洽、DCI评分低、人格特征（P、N维度分高）均是影响高龄不孕症女性抑郁发生的危险因素（P＜0.05）。

结论 高龄不孕症女性患者抑郁的发生受年龄、不孕年限、文化程度、家庭年收入、夫妻关系融洽、DCI评分、人格特征（P、N维度分）等因素的影响。

关键词：【关键词】 高龄妇女；不孕症；抑郁状态；夫妻支持应对量表；危险因素

ABSTRACT

【Abstract】
Objective To investigate the depression status and its influencing factors in elderly infertile women.

Methods 154 elderly infertile women (≥ 35 years old) admitted to our hospital from September 2023 to September 2024 were selected as the research objects, According to the self rating Depression Scale (SDS) score, the patients were divided into depression group (n=51) and non depression group (n=103). The basic data of the two groups were collected and compared, and the support was evaluated by the dyadic coping inventory (DCI), The Eysenck Personality Questionnaire (EPQ) was used to investigate the personality characteristics of the subjects, The risk factors of depression in elderly infertile women were identified by logistic multivariate analysis.

Results There were significant differences in age, education level, DCI score, infertility years, annual family income, harmonious relationship between husband and wife, personality characteristics (P, N dimension score) between the two groups (P<0.05). Logistic multivariate analysis showed that: age ≥ 40 years old, low education level, infertility years>4 years, family annual income ≤ 60000 yuan, the relationship between husband and wife is not harmonious, DCI score is low, personality characteristics (P, N dimension score is high) are the risk factors of depression in elderly infertile women (P<0.05).

Conclusion   The incidence of depression in elderly infertile women was affected by age, infertility years, education level, annual family income, harmonious relationship between husband and wife, DCI score, personality characteristics (P, N dimension score) and other factors.

Key words: 【Key words】 Older women; Infertility; Depression; Dyadic coping inventory; Risk factors